dc.contributorUniversidade Estadual Paulista (UNESP)
dc.creatorSilva Braga, Aline Marques da
dc.creatorFujisao, Elaine Keiko
dc.creatorBetting, Luiz Eduardo
dc.date2015-11-03T15:27:40Z
dc.date2016-10-25T21:16:45Z
dc.date2015-11-03T15:27:40Z
dc.date2016-10-25T21:16:45Z
dc.date2014-12-01
dc.date.accessioned2017-04-06T09:16:15Z
dc.date.available2017-04-06T09:16:15Z
dc.identifierEpilepsy Research. Amsterdam: Elsevier Science Bv, v. 108, n. 10, p. 1740-1747, 2014.
dc.identifier0920-1211
dc.identifierhttp://hdl.handle.net/11449/129902
dc.identifierhttp://acervodigital.unesp.br/handle/11449/129902
dc.identifierhttp://dx.doi.org/10.1016/j.eplepsyres.2014.09.004
dc.identifierWOS:000347500600008
dc.identifierhttp://www.sciencedirect.com/science/article/pii/S0920121114002368
dc.identifier.urihttp://repositorioslatinoamericanos.uchile.cl/handle/2250/940455
dc.descriptionExperimental evidence from animal models of the absence seizures suggests a focal source for the initiation of generalized spike-and-wave (GSW) discharges. Furthermore, clinical studies indicate that patients diagnosed with idiopathic generalized epilepsy (IGE) exhibit focal electroencephalographic abnormalities, which involve the thalamo-cortical circuitry. This circuitry is a key network that has been implicated in the initiation of generalized discharges, and may contribute to the pathophysiology of GSW discharges. Quantitative electroencephalogram (qEEG) analysis may be able to detect abnormalities associated with the initiation of GSW discharges. The objective of this study was to determine whether interictal GSW discharges exhibit focal characteristics using qEEG analysis.In this study, 75 EEG recordings from 64 patients were analyzed. All EEG recordings analyzed contained at least one GSW discharge. EEG recordings were obtained by a 22-channel recorder with electrodes positioned according to the international 10-20 system of electrode placement. EEG activity was recorded for 20 min including photic stimulation and hyperventilation. The EEG recordings were visually inspected, and the first unequivocally confirmed generalized spike was marked for each discharge. Three methods of source imaging analysis were applied: dipole source imaging (DSO, classical LORETA analysis recursively applied (CLARA), and equivalent dipole of independent components with cluster analysis.A total of 753 GSW discharges were identified and spatiotemporally analyzed. Source evaluation analysis using all three techniques revealed that the frontal lobe was the principal source of GSW discharges (70%), followed by the parietal and occipital lobes (14%), and the basal ganglia (12%). The main anatomical sources of GSW discharges were the anterior cingulate cortex (36%) and the medial frontal gyrus (23%).
dc.descriptionFundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)
dc.languageeng
dc.publisherElsevier B.V.
dc.relationEpilepsy Research
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectElectroencephalo-gram
dc.subjectEEG
dc.subjectQuantitative EEG
dc.subjectqEEG
dc.subjectIdiopathic generalized epilepsy
dc.subjectGeneralized spike-and-wave discharges
dc.titleAnalysis of generalized interictal discharges using quantitative EEG
dc.typeOtro


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